SUMMARY

The insurance clerk will transmit, post, and work clams to insure payment in a timely manner. They will be in direct communication with insurance companies and patients’ families to resolved insurance and account balance issues.

QUALIFICATIONS

- High school diploma or equivalent

- Current Hepatitis B vaccine, flu vaccine, and negative TB test

- Knowledge of front office procedures

- Team oriented with excellent written and verbal communication skills

- Knowledge of grammar, spelling, and some medical terminology

- Skill in operating a computer, copier, multi-line phone system, and calculator

- Skill in greeting patients and answering the phone in a pleasant and helpful manner

- Knowledge of accounts receivable practices and medical business office procedures

- Knowledge of coding procedures

- Knowledge of insurance company reimbursement procedures and practices

- Ability to establish and maintain effective working relationships with patients and co-workers

- Ability to examine documents for accuracy and completeness

- Ability to perform work which requires full range of body motion, sitting and/or standing for long periods of time with varied activities, such as sitting, walking stooping, lifting, bending and reaching

- Manual dexterity sufficient to operate keyboard and necessary office equipment

- Ability to lift up to 30 pounds and view and type on the computer for long periods

- Ability to perform work which may be stressful at times due to work load, constant interruptions, emergency situations and upset patients

- Ability to work night and weekend hours if scheduled

- Ability to work in an environment with frequent exposure to communicable disease, toxic substances, medical preparations and other conditions common to a clinical environment

DUTIES

- Transmit electronic and paper claims daily

- Obtain audit trails

- Post payments to accounts

- Write off adjustments

- Copy and deposit insurance checks

- Balance work daily

- Run and work aging reports monthly

- Stay aware of changes in fee schedules of insurance companies

- Notify manager of companies that delay payment or have lower than average reimbursement

- Stay up to date with coding and make recommendations if coding changes are needed

- Research refund requests and submit for payment

- Perform essential functions of receptionist and phone attendant and cross cover when needed

- Maintain patient confidentiality

- Attend meetings as directed including professional growth and development meetings

- Perform other duties as directed by management

Job Type: Full-time

Pay: From $17.03 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Work setting:

• Clinic
• Office
• Private practice

Education:

• High school or equivalent (Required)

Experience:

• ICD-10: 3 years (Required)

Ability to Commute:

• Fairhope, AL 36532 (Required)

Work Location: In person